MelanomaPhase 3NCT05608291
A Trial to See if the Combination of Fianlimab With Cemiplimab Works Better Than Pembrolizumab for Preventing or Delaying Melanoma From Coming Back After it Has Been Removed With Surgery
A Phase 3 study testing Fianlimab, Cemiplimab and Pembrolizumab in people with Melanoma, run by Regeneron Pharmaceuticals at 211 sites in 22 countries.
Trial summary
This study is researching an experimental drug called REGN3767, also known as fianlimab (R3767), when combined with another medication called cemiplimab (each individually called a "study drug" or called "study drugs" when combined) compared with an approved medication called pembrolizumab. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Melanoma
- What is being tested?
- Fianlimab, Cemiplimab and Pembrolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,564 participants
- Where
- 211 sitesin 22 countries
- Study dates
- 16 Jan 2023to 3 Apr 2030
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- All patients must be either stage IIB, IIC, III, or stage IV per American Joint Committee on Cancer (AJCC) 8th edition and have histologically confirmed melanoma that is completely surgically resected in order to be eligible as defined by the protocol
- Complete surgical resection must be performed within 12 weeks prior to randomization, and enrollment may occur only after satisfactory wound healing from the surgery
- All patients must have disease-free status documented by a complete physical examination and imaging studies within 4 weeks prior to randomization, as described in the protocol
Who cannot join
- Uveal melanoma
- Any evidence of residual disease after surgery by imaging, pathology, or cytology.
- Ongoing or recent (within 2 years) evidence of clinically significant autoimmune disease that required treatment
- Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C (HCV) infection; or diagnosis of immunodeficiency that is related to, or results in chronic infection, as described in the protocol
- Another malignancy that is currently progressing or that required active treatment in the past 5 years, as described in the protocol
- Participants with a history of myocarditis
- Adolescent patients (≥12 to <18 years old) with body weight <40 kg
- Note: Other Protocol Defined Inclusion/ Exclusion Criteria Apply
Trial locations and contacts
211 sites in 22 countries.
211 sites in 22 countries
United States28 sites
Massachusetts General Hospital
Boston, Massachusetts, 02114
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599
University of Virginia Medical Center
Charlottesville, Virginia, 22903
Northwestern University
Chicago, Illinois, 60611
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
The Ohio State University James Comprehensive Cancer Center
Columbus, Ohio, 43210
UT Southwestern Medical Center
Dallas, Texas, 75390
Karmanos Cancer Institute
Detroit, Michigan, 48201
Duke Cancer Institute, University Hospital
Durham, North Carolina, 27710
St Lukes University Health Network
Easton, Pennsylvania, 18045
The Melanoma And Skin Cancer Institute
Englewood, Colorado, 80113
University of Tennessee Medical Center
Knoxville, Tennessee, 37920
UC San Diego
La Jolla, California, 92093
Miami Cancer Institute at Baptist Health, Inc.
Miami, Florida, 33176
Intermountain Medical Center
Murray, Utah, 84107
Tennessee Oncology - Centennial Clinic Location
Nashville, Tennessee, 37203-1625
Verdi Oncology
Nashville, Tennessee, 37203
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901
Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
New York, New York, 10016
Columbia University
New York, New York, 10032
Orlando Health
Orlando, Florida, 32806
University Of Pittsburgh
Pittsburgh, Pennsylvania, 15213
University of Rochester
Rochester, New York, 14642
UCSF Medical Center at Mission Bay
San Francisco, California, 94158
John Wayne Cancer Institute (JWCI)
Santa Monica, California, 90404
Moffitt Cancer Center
Tampa, Florida, 33612
Germany22 sites
University Hospital Augsburg
Augsburg, Bavaria, 86179
Charite Universitaetsmedizin Berlin
Berlin, 10117
Ruhr University Bochum
Bochum, North Rhine-Westphalia, 44791
Klinikum Bremen Ost
Bremen, 28325
Klinikum Darmstadt GmbH
Darmstadt, Hesse, 64283
University Hospital Dresden
Dresden, Saxony, 01307
Helios Klinikum Erfurt
Erfurt, Thuringia, D-99089
Dermatology Erlangen
Erlangen, Bavaria, 91054
Universitatsklinikum Essen
Essen, North Rhine-Westphalia, 45147
University Clinic Frankfurt
Frankfurt am Main, Hesse, 60590
University Medical Center Goettingen
Göttingen, Lower Saxony, 37075
University Hospital of Universitatsklinikum Schleswig Holstein (UKSH) Campus Kiel
Kiel, Schleswig-Holstein, 24105
Universitatsklinikum Schleswig Holstein Campus Luebeck
Lübeck, Schleswig-Holstein, 23538
Hautklinik
Ludwigshafen am Rhein, Rhineland-Palatinate, D-67063
University Medical Center Mannheim
Mannheim, Baden-Wurttemberg, 68167
LMU Klinikum
Munich, Bavaria, 80337
University Hospital Muenster
Münster, North Rhine-Westphalia, 48149
Fachklinik Hornheide
Münster, North Rhine-Westphalia, 48157
Skin Cancer Center Harz
Quedlinburg, Saxony-Anhalt, 06484
University Hospital of Regensburg
Regensburg, Bavaria, 93053
Helios Kliniken Schwerin
Schwerin, Mecklenburg-Vorpommern, 19055
University of Tuebingen
Tübingen, Baden-Wurttemberg, 72076
France21 sites
CHU Amiens-Picardie
Amiens, Picardie, 80000
Sainte Catherine Institut du Cancer Avignon Provence
Avignon, 84918
Besancon Regional University Hospital Center
Besançon, Doubs, 25000
Hopital Avicenne
Bobigny, Île-de-France Region, 93000
Chu De Bordeaux
Bordeaux, Gironde, 33075
N_Hôpital Ambroise-Paré
Boulogne-Billancourt, 92100
Centre Francois Baclesse (CFB)
Caen, Normandy, 14076
CHU Estaing
Clermont-Ferrand, 63003
Hospital Henri Mondor
Créteil, Île-de-France Region, 94000
Centre Georges Francois Leclerc
Dijon, Bourgogne-Franche-Comté, 21000
CHU-Dijon
Dijon, Burgundy, 21000
Centre Hospitalier Universitaire Grenoble Alpes
La Tronche, Isere, 38700
Centre Hospitalier Le Mans
Le Mans, Pays de la Loire Region, 72037
CHU de Lille
Lille, Hauts-de-France, 59000
Service de Dermatologie CHU Saint Eloi
Montpellier, Herault, 34295
Nantes University Hospital
Nantes, Pays de la Loire Region, 44093
Centre Hospitalier Universitaire De Nice Hopital De L Archet
Nice, 06202
Saint Louis Hospital
Paris, Île-de-France Region, 75010
Institut Claudius Regaud, IUCT-Oncopole
Toulouse, Haute-Garonne, 31059
Centre Hospitalier de Valence
Valence, 26000
Institut Gustave Roussy
Villejuif, 94805
Brazil18 sites
Fundacao Pio XII - Hospital de Amor
Barretos, São Paulo, 14784400
Hospital das Clinicas da Universidade Federal de Minas Gerais
Belo Horizonte, Minas Gerais, 30130-090
Liga Paranaense de Combate ao Cancer - Hospital Erasto Gaertner
Curitiba, Paraná, 81520-060
Oncosite Centro De Pesquisa Em Oncologia
Ijuí, Rio Grande do Sul, 98700-000
Catarina Pesquisa Clinica
Itajaí, Santa Catarina, 88301-220
Instituto Joinvilense de Hematologia e Oncologia
Joinville, Santa Catarina, 89201260
Animi Unidade de Tratamento Oncologico
Lages, Santa Catarina, 88501-001
Instituto do Cancer em Hospital Sao Vicente de Paulo
Passo Fundo, Rio Grande do Sul, 99010-090
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035007
Hospital Moinhos de vento
Porto Alegre, Rio Grande do Sul, 90440140
Centro de Pesquisa em Oncologia PUCRS
Porto Alegre, Rio Grande do Sul, 90619900
Instituto COI
Rio de Janeiro, 23793-080
INCA Instituto Nacional de Cancer
Santo Cristo, Rio de Janeiro, 20220-410
Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto - Hospital de Base
São José do Rio Preto, São Paulo, 15090-000
Hemomed
São Paulo, 01236030
Hospital Sirio Libanes
São Paulo, 01308-050
Sao Camilo Oncologia
São Paulo, 04014-002
Unimed Sorocaba
Sorocaba, São Paulo, 18052-210
Spain16 sites
H. Germans Trias i Pujol, ICO-Badalona
Badalona, Barcelona, 08916
Instituto Oncologico Dr Rosell Hospital Universitari Quiron Dexeus Location
Barcelona, Catalonia, 08028
Hospital Vall d'Hebron
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Catalan Institute of Oncology (ICO) Hospitalet
Barcelona, 08908
Hospital Universitario Virgen de las Nieves
Granada, 18014
Hospital Universitario Lucus Augusti
Lugo, 27003
Hospital General Universitario Gregorio Maranon
Madrid, 28007
Hospital Universitario 12 de Octubre Universidad Complutense de Madrid UCM
Madrid, 28041
Hospital Universitario La Pa<
Madrid, 28046
Centro Integral Oncologico HM Clara Campal
Madrid, 28050
Hospital Universitario Central De Asturias
Oviedo, Principality of Asturias, 33011
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008
Hospital Universitario Virgen Macarena
Seville, 41009
Instituto Valenciano de Oncologia
Valencia, 46009
Incliva - Instituto de Investigacion Sanitaria
Valencia, 46010
Italy14 sites
Clinica Oncologica, AOU Riuniti Ancona
Ancona, An, 60020
Istituto dei Tumori
Bari, 70124
Azienda Ospedaliera Santa Croce i Carle
Cuneo, 12100
Istituto Romagnolo per lo Studio dei Tumori (IRST)
Meldola, Forli Cesena, 47014
Istituto Clinico Humanitas
Milan, Lombardy, 20089
Istituto Europeo di Oncologia
Milan, 20141
U.O.C. Oncologia Medica ed Ematologia (U.O.C Medical Oncology and Hematology)
Naples, Campania, 80121
Instituto Nazionale Tumori Fondazione Giovanni Pascale
Naples, 80131
University of Perugia
Perugia, 06132
Fondazione Policlinico Universitrio a. Gemelli - IRCCS
Rome, 000168
Campus Bio-Medico di Roma
Rome, 00128
Istituto Dermopatico dell'Immacolata
Rome, 00167
Santa Chiara Hospital
Trento, 38122
Azienda Sanitaria Universitaria del Friuli Centrale
Udine, 33100
Turkey (Türkiye)11 sites
Gulhane Research And Training Hospital
Ankara, 06010
Ozel Liv Hospital
Ankara, 06100
Sbu Doctor Abdurrahman Yurtaslan Ankara Onkoloji Suam
Ankara, 06100
Memorial Ankara Hospital
Ankara, 0906520
Trakya University
Edirne, 22030
Gaziantep Medicalpoint Hospital
Gaziantep, Sehitkamil, 27584
Istanbul University Cerrahpasa at Cerrahpasa Medical Faculty
Istanbul, 34450
Istanbul Medeniyet University - Prof Dr Suleyman Yalcin Sehir Hospital
Istanbul, 81450
Kocaeli University
İzmit, Kocaeli, 41380
Dicle University - Medical Faculty Campus
Sur, Diyarbakır, 21200
Baskent University
Yüreğir, Adana, 01230
Australia10 sites
Flinders Medical Centre
Bedford Park, South Australia, 5042
Blacktown Cancer and Haematology Centre - Blacktown Hospital
Blacktown, New South Wales, 2148
Eastern Health
Box Hill, Victoria, 3128
Andrew Love Cancer Centre
Geelong, Victoria, 3220
Lismore Base Hospital
Lismore, New South Wales, 2480
Liverpool Hospital - Cancer Therapy Centre
Liverpool, New South Wales, 2170
Alfred Hospital
Melbourne, Victoria, 3004
One Clinical Research at Hollywood Private Hospital
Nedlands, Western Australia, 6009
Calvary North Adelaide Hospital
North Adelaide, South Australia, 5006
Melanoma Institute of Australia
Wollstonecraft, New South Wales, 2065
United Kingdom9 sites
Bristol Haematology And Oncology Centre (BHOC) - Bristol Cancer Institute
Bristol, Somerset, BS2 8ED
University Hospital Coventry and Warwickshire Nhs Trust
Coventry, West Midlands, CV2 2DX
Edinburgh Cancer Centre
Edinburgh, Lothian, EH4 2XU
Royal Devon and Exeter Hospital NHS Trust
Exeter, Devon, EX2 5DW
Saint Bartholomew's Hospital
London, EC1A 7BE
University College London Hospitals
London, NW1 2PG
The Christie
Manchester, M20 4BX
The Royal Marsden NHS Foundation Trust
Sutton, Surrey, SM2 5PT
Taunton and Somerset NHS Foundation Trust
Taunton, TA1 5DA
Romania8 sites
Institute of Oncology Bucharest
Bucharest, Bucharest, 022328
Cardiomed
Cluj-Napoca, Cluj, 400015
Institute of Oncology Prof. Dr Ion Chirircuta
Cluj-Napoca, Cluj, 400015
Sfantul Nectarie Oncology Center
Craiova, Dolj, 200347
Radiotherapy Center Cluj
Floreşti, Cluj, 407280
Centrul De Oncologie Euroclinic
Iași, 700106
Oncocenter Oncologie Clinica S.R.L
Timișoara, Timiș County, 300166
Oncomed
Timișoara, Timiș County, 300239
Georgia7 sites
Cancer Center of Adjara
Batumi, 6000
Tbilisi State Medical University and Ingorokva High Medical Technology University Clinic
Tbilisi, Caucasus, 0144
Acad.Fridon Todua Medical Center- Research Institute of Clinical Medicine
Tbilisi, 0112
Israeli Georgian Medical Research Clinic Helsicore
Tbilisi, 0112
LTD New Hospitals
Tbilisi, 0114
JSC K. Eristavi National Center of Experimental and Clinical Surgery
Tbilisi, 0159
TIM - Tbilisi Institute of Medicine
Tbilisi, 0160
Mexico7 sites
Neurociencias Estudios Clinicos SC
Culiacán, Sinaloa, 80020
Antiguo Hospital Civil de Guadalajara Fray Antonio Alcalde
Guadalajara, Jalisco, 44280
Pan American Clinical Research
Guadalajara, Jalisco, 44670
Preparaciones Oncologica SC
León, Guanajuato, 37178
Centro De Atencion E Investigacion Clinica En Oncologia SCP
Mérida, Yucatán, 97134
iCan Oncology
Monterrey, Nuevo León, 64710
Faicic Centro de Investigacion Clinica de Veracruz
Veracruz, 91910
Argentina6 sites
Fundacion Centro de Investigaciones para la Transformacion (CENIT)
Caba, Buenos Aires, 1125
DIABAID - Instituto de Asistencia Integral en Diabetes
Caba, 1061
Centro de Investigacion Pergamino
Pergamino, Buenos Aires, B2700CPM
Instituto de Oncologia de Rosario
Rosario, Santa Fe Province, S2000KZE
Centro Medico San Roque
San Miguel de Tucumán, Tucumán Province, 4000
Clinica Viedma S.A.
Viedma, Río Negro Province, 8500
Greece5 sites
National and Kapodistrian University of Athens
Athens, Attica, 11527
Metropolitan Hospital
Neo Faliro, Attica, 18547
Ongology Theageneio Thessaloniki
Thessaloniki, 54007
BioClinic Thessaloniki
Thessaloniki, 54622
Interbalkan Medical Center
Thessaloniki, 57001
Poland5 sites
UCK
Gdansk, Pomeranian Voivodeship, 80-214
Copernicus Podmiot Leczniczy Sp. z o.o.Wojewodzie Centrum Onkologii
Gdansk, Pomeranian Voivodeship, 80-219
Poznan University of Meidcla Science
Poznan, Wielkopolska, 60-788
Mazowiecki Szpital Wojewodzki, Siedleckie Centrum Onkologii
Siedlce, Mazxowieckie, 08-110
Wojewodzki Szpital Specjalistyczny im. Janusza Korczaka w Słupsku Sp. z o.o.
Słupsk, Pomeranian Voivodeship, 76-200
Canada4 sites
Royal Victoria Regional Health Centre
Barrie, Ontario, L4M 6M2
Dr. Everett Chalmers Hospital
Fredericton, New Brunswick, E3B 5N5
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
Ireland4 sites
Cork University Hospital
Cork, T12 EC8P
Beaumont Hospital
Dublin, D09 V2N0
St Vincents University Hospital
Dublin, DO4YN63
Galway University Hospital
Galway, Connacht, H91 YR71
South Africa4 sites
Groote Schuur Hospital
Cape Town, Western Cape, 7925
The Medical Oncology Centre of Rosebank
Johannesburg, Gauteng, 2196
Cape Town Oncology Trials
Kraaifontein, Western Cape, 7570
Wilgers Oncology Centre
Pretoria, Gauteng, 0081
Belgium3 sites
Cliniques Universitaires Saint-Luc
Brussels, 1200
AZ Groeninge
Kortrijk, West-Vlaanderen, 8500
Vitaz campus Sint-Niklaas Moerland
Sint-Niklaas, Oost-Vlaanderen, 9100
Chile3 sites
Clinica UC San Carlos de Apoquindo
Santiago, Santiago Metropolitan, 7550000
Centro Oncologia de Precision Universidad Mayor
Santiago, Santiago Metropolitan, 7560907
Oncocentro APYS
Viña del Mar, Valparaiso, 2520598
Czechia3 sites
Masaryk Memorial Cancer Institute
Brno, Brno Mesto, 65653
University Hospital Hradec Kralove
Hradec Králové, North Central Czech Republic, 50005
University Hospital Ostrava
Ostrava, 70852
Israel3 sites
Haemek Medical Center
Afula, Northern District, 18340000
Hadassah Medical Organization
Jerusalem, 91120
Sheba Medical Center
Tel HaShomer, 5265601
About this study
Official title: A Phase 3 Trial of Fianlimab (Anti-LAG-3) and Cemiplimab Versus Pembrolizumab in the Adjuvant Setting in Patients With Completely Resected High-risk Melanoma
This study is researching an experimental drug called REGN3767, also known as fianlimab (R3767), when combined with another medication called cemiplimab (each individually called a "study drug" or called "study drugs" when combined) compared with an approved medication called pembrolizumab.
The objective of this study is to see if the combination of fianlimab and cemiplimab is an effective treatment compared to pembrolizumab in patients that have had melanoma removal surgery but are still at high risk for the recurrence of the disease. Pembrolizumab is an approved treatment in some countries in this clinical setting.
Read more
The study is looking at several other research questions, including:
- What side effects may happen from receiving the study drugs.
- How much study drug is in the blood at different times.
- Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects). Antibodies are proteins that are naturally found in the blood stream that fight infections.
- How administering the study drugs might improve quality of life.
- Conditions
- Melanoma
- Being tested
- Fianlimab, Cemiplimab, Pembrolizumab, Placebo
- Keywords
- Resected High Risk Melanoma, Skin Cancer, Stage IIB, Stage IIC, Stage III, Stage IV, LAG-3 Lymphocyte activation gene 3, Adjuvant Setting, anti-PD-1 Monoclonal Antibody
- Medical subject headings
- Melanoma, Skin Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FianlimabDrug
Also called REGN3767
Fianlimab will be administered by intravenous (IV) infusion every (Q) 3 weeks
CemiplimabDrug
Also called REGN2810, Libtayo
Cemiplimab will be administered by IV infusion Q 3 weeks
PembrolizumabDrug
Also called MK-3475, lambrolizumab, Keytruda
Pembrolizumab will be administered by IV infusion Q 3 weeks
PlaceboDrug
Matching placebo co-infused with pembrolizumab IV, will be administered by IV infusion Q 3 weeks
| Study group | Role | What they receive |
|---|---|---|
| Fianlimab HD + Cemiplimab | Experimental | Patients will be administered one combination dose of fianlimab high dose (HD) and cemiplimab Receives: Drug: Fianlimab; Drug: Cemiplimab |
| Fianlimab LD + Cemiplimab | Experimental | Patients will be administered one combination dose of fianlimab low dose (LD) and cemiplimab Receives: Drug: Fianlimab; Drug: Cemiplimab |
| Pembrolizumab | Active comparator | Patients will be administered one dose of pembrolizumab co-infused with saline/dextrose placebo Receives: Drug: Pembrolizumab; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Relapse free survival (RSF)
Time from randomization to the first documented recurrence of disease at any site (excluding new primary melanomas) or death from any cause, whichever occurs first.
Measured: Up to 5 Years
Secondary outcomes (22)
Distant metastasis-free survival (DMFS)
Time between the date of randomization and the date of the first distant metastasis.
Measured: Up to 5 Years
Overall survival (OS)
Time from randomization to the date of death.
Measured: Up to 5 Years
Occurrence of treatment-emergent adverse events (TEAEs)
A TEAE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.
Measured: Up to 5 Years
Occurrence of immune-mediated EAEs (im-EAEs)
imAEs are a unique set of toxicities thought to be caused by unrestrained cellular immune responses.
Measured: Up to 5 Years
Occurrence of serious adverse events (SAEs)
An SAE is any untoward medical occurrence that at any dose:
- Results in death - includes all deaths, even those that appear to be completely unrelated to study drug (eg, a car accident in which a patient is a passenger).
- Is life-threatening
- Requires in-patient hospitalization or prolongation of existing hospitalization.
- Results in persistent or significant disability/incapacity
- Is a congenital anomaly/birth defect.
- Is an important medical event
Measured: Up to 5 Years
Occurrence of adverse events of special interest (AESIs)
An AESI (serious or non-serious) is one of scientific and medical concern specific to the sponsor's product or program, for which ongoing monitoring and rapid communication by the Investigator to the sponsor can be appropriate. Such an event might warrant further investigation in order to characterize and understand it
Measured: Up to 5 Years
Occurrence of TEAEs resulting in death
A TEAE resulting in death is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.
Measured: Up to 5 Years
Occurrence of dose-limiting toxicity (DLT)
A DLT is defined as a study-drug related TEAE, including imAEs, that could preclude enrolling additional adolescent patients at the selected dose. Dose-limiting toxicity will be evaluated in adolescents only.
Measured: Up to 5 Years
Occurrence of interruption or discontinuation of study drug(s) due to TEAE
A TEAE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.
Measured: Up to 5 Years
Occurrence of laboratory abnormalities
As assessed by the NCI-CTCAE grading system (≥ Grade 3 or higher)
Measured: Up to 5 Years
Concentrations of fianlimab in serum over time
The concentrations of fianlimab over time will be summarized by descriptive statistics by study arm for the overall population and for adolescent patients.
Measured: Up to 5 Years
Concentrations of cemiplimab in serum over time
The concentrations of cemiplimab over time will be summarized by descriptive statistics by study arm for the overall population and for adolescent patients.
Measured: Up to 5 Years
Concentration of finalimab anti-drug antibodies (ADA) and neutralizing antibodies
Immunogenicity will be characterized per drug molecule by ADA and NAb status.
Measured: Up to 5 Years
Concentration of cemiplimab anti-drug antibodies (ADA) and neutralizing antibodies
Immunogenicity will be characterized per drug molecule by ADA and NAb status.
Measured: Up to 5 Years
Patient report outcomes (PRO) for adults as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC-QLQ-C30)
The EORTC QLQ-C30 (Version 3) uses for the questions 1 to 28 a 4-point scale. The scale scores from 1 to 4: 1 ("Not at all"), 2 ("A little"), 3 ("Quite a bit") and 4 ("Very much"). Half points are not allowed. The range is 3. For the raw score, less points are considered to have a better outcome.
The EORTC QLQ-C30 (Version 3) uses for the questions 29 and 30 a 7-points scale. The scale scores from 1 to 7: 1 ("very poor") to 7 ("excellent"). Half points are not allowed. The range is 6. More points are considered to have a better outcome.
Measured: Up to 5 Year
PRO for adults as measured by the European Quality of Life Dimension 5 (EQ-5D-5L)
The EQ-5D-5L a descriptive system that comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.
Measured: Up to 5 Years
PRO for adults as measured by the Functional Assessment of Cancer Therapy (FACT) - melanoma
The FACT-M is a melanoma-specific quality of life questionnaire that is composed of items from the Functional Assessment of Cancer Therapy-General (FACT-G). The FACT-M is scored on a 5 point Likert-scale: "Not at all", "A little bit", "Somewhat", "Quite a bit", and "Very much.". A Higher score represents higher Health Related Quality of Life (HRQoL).
Measured: Up to 5 Years
PRO for adults as determined by the Patient Global Impressions Scale (PGIS)
The PGIS is a single 1-item questionnaire designed to assess participant's overall impression of disease severity at a given point in time by using a 4-point Likert scale that ranges from (1) = "none (no symptoms)" to (4) = "severe".
Measured: Up to 5 Years
PRO for adults as determined by the Patient Global Impressions of Change Scale (PGIC)
The PGIC is a single-item questionnaire designed to assess the participant's overall sense of whether there has been a change since starting treatment as rated on a 5-point Likert scale anchored by (1) "much better" to (5) "much worse", with (4) = "no change".
Measured: Up to 5 Years
Time to global health status/quality of life deterioration per EORTC QLQ-C30
Measured: Up to 5 years
Time to physical functioning deterioration per EORTC QLQ-C30
Measured: Up to 5 Years
Time to role functioning deterioration per EORTC QLQ-C30
Measured: Up to 5 Years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Nov 2022
- Study start16 Jan 2023
- Primary completion27 Jul 2026 (estimated)
- Study completion3 Apr 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for MelanomaStudies of the same condition, open and under way.
- More trials run by Regeneron PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,564 participants (actual)
Sponsor and investigators
- Lead sponsor
- Regeneron Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trial Management, Study director, Regeneron Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05608291
- Sponsor's protocol ID
- R3767-ONC-2055
- Other IDs
- 2022-501576-25-00
- Status last verified
- Jun 2026
- First submitted
- 14 Oct 2022
- Last updated
- 6 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
Study at a glance
From the registry record, last updated by the sponsor on 6 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Trial of Fianlimab (Anti-LAG-3) and Cemiplimab Versus Pembrolizumab in the Adjuvant Setting in Patients With Completely Resected High-risk Melanoma
- ClinicalTrials.gov ID
- NCT05608291
- Acronym / sponsor ID
- R3767-ONC-2055
- Conditions
- Melanoma
- Keywords
- Resected High Risk Melanoma, Skin Cancer, Stage IIB, Stage IIC, Stage III, Stage IV, LAG-3 Lymphocyte activation gene 3, Adjuvant Setting
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,564 participants (actual)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 16 Jan 2023 (actual)
- Primary completion
- 27 Jul 2026 (estimated)
- Study completion
- 3 Apr 2030 (estimated)
- First posted
- 8 Nov 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is researching an experimental drug called REGN3767, also known as fianlimab (R3767), when combined with another medication called cemiplimab (each individually called a "study drug" or called "study drugs" when combined) compared with an approved medication called pembrolizumab.
The objective of this study is to see if the combination of fianlimab and cemiplimab is an effective treatment compared to pembrolizumab in patients that have had melanoma removal surgery but are still at high risk for the recurrence of the disease. Pembrolizumab is an approved treatment in some countries in this clinical setting.
The study is looking at several other research questions, including:
- What side effects may happen from receiving the study drugs.
- How much study drug is in the blood at different times.
- Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects). Antibodies are proteins that are naturally found in the blood stream that fight infections.
- How administering the study drugs might improve quality of life.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Fianlimab HD + Cemiplimab | Experimental | Drug: Fianlimab, Drug: CemiplimabPatients will be administered one combination dose of fianlimab high dose (HD) and cemiplimab |
| Fianlimab LD + Cemiplimab | Experimental | Drug: Fianlimab, Drug: CemiplimabPatients will be administered one combination dose of fianlimab low dose (LD) and cemiplimab |
| Pembrolizumab | Active comparator | Drug: Pembrolizumab, Drug: PlaceboPatients will be administered one dose of pembrolizumab co-infused with saline/dextrose placebo |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- All patients must be either stage IIB, IIC, III, or stage IV per American Joint Committee on Cancer (AJCC) 8th edition and have histologically confirmed melanoma that is completely surgically resected in order to be eligible as defined by the protocol
- Complete surgical resection must be performed within 12 weeks prior to randomization, and enrollment may occur only after satisfactory wound healing from the surgery
- All patients must have disease-free status documented by a complete physical examination and imaging studies within 4 weeks prior to randomization, as described in the protocol
Key exclusion criteria (8 listed)
- Uveal melanoma
- Any evidence of residual disease after surgery by imaging, pathology, or cytology.
- Ongoing or recent (within 2 years) evidence of clinically significant autoimmune disease that required treatment
- Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C (HCV) infection; or diagnosis of immunodeficiency that is related to, or results in chronic infection, as described in the protocol
- Another malignancy that is currently progressing or that required active treatment in the past 5 years, as described in the protocol
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FianlimabAlso: REGN3767Fianlimab will be administered by intravenous (IV) infusion every (Q) 3 weeks | Drug | Fianlimab HD + Cemiplimab, Fianlimab LD + Cemiplimab |
| CemiplimabAlso: REGN2810, LibtayoCemiplimab will be administered by IV infusion Q 3 weeks | Drug | Fianlimab HD + Cemiplimab, Fianlimab LD + Cemiplimab |
| PembrolizumabAlso: MK-3475, lambrolizumab, KeytrudaPembrolizumab will be administered by IV infusion Q 3 weeks | Drug | Pembrolizumab |
| PlaceboMatching placebo co-infused with pembrolizumab IV, will be administered by IV infusion Q 3 weeks | Drug | Pembrolizumab |
Primary outcome
Relapse free survival (RSF)
Time frame: Up to 5 Years
Time from randomization to the first documented recurrence of disease at any site (excluding new primary melanomas) or death from any cause, whichever occurs first.
22 secondary outcomes
Distant metastasis-free survival (DMFS)
Time frame: Up to 5 Years
Overall survival (OS)
Time frame: Up to 5 Years
Occurrence of treatment-emergent adverse events (TEAEs)
Time frame: Up to 5 Years
Occurrence of immune-mediated EAEs (im-EAEs)
Time frame: Up to 5 Years
Occurrence of serious adverse events (SAEs)
Time frame: Up to 5 Years
Occurrence of adverse events of special interest (AESIs)
Time frame: Up to 5 Years
Occurrence of TEAEs resulting in death
Time frame: Up to 5 Years
Occurrence of dose-limiting toxicity (DLT)
Time frame: Up to 5 Years
Occurrence of interruption or discontinuation of study drug(s) due to TEAE
Time frame: Up to 5 Years
Occurrence of laboratory abnormalities
Time frame: Up to 5 Years
Concentrations of fianlimab in serum over time
Time frame: Up to 5 Years
Concentrations of cemiplimab in serum over time
Time frame: Up to 5 Years
Concentration of finalimab anti-drug antibodies (ADA) and neutralizing antibodies
Time frame: Up to 5 Years
Concentration of cemiplimab anti-drug antibodies (ADA) and neutralizing antibodies
Time frame: Up to 5 Years
Patient report outcomes (PRO) for adults as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC-QLQ-C30)
Time frame: Up to 5 Year
PRO for adults as measured by the European Quality of Life Dimension 5 (EQ-5D-5L)
Time frame: Up to 5 Years
PRO for adults as measured by the Functional Assessment of Cancer Therapy (FACT) - melanoma
Time frame: Up to 5 Years
PRO for adults as determined by the Patient Global Impressions Scale (PGIS)
Time frame: Up to 5 Years
PRO for adults as determined by the Patient Global Impressions of Change Scale (PGIC)
Time frame: Up to 5 Years
Time to global health status/quality of life deterioration per EORTC QLQ-C30
Time frame: Up to 5 years
Time to physical functioning deterioration per EORTC QLQ-C30
Time frame: Up to 5 Years
Time to role functioning deterioration per EORTC QLQ-C30
Time frame: Up to 5 Years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jul 2026.
- A clinical study for adults and adolescents who are melanoma-free following surgery.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
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Melanoma
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trial Management study director
Regeneron Pharmaceuticals
211 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Fianlimab, Cemiplimab and Pembrolizumab in people with Melanoma, run by Regeneron Pharmaceuticals at 211 sites in 22 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 6 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 211 sites in United States, Germany, France, Brazil, Spain and 17 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Relapse free survival (RSF) (time frame: Up to 5 Years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jul 2026.